<%@ page language="java" contentType="text/html;charset=UTF-8" pageEncoding="UTF-8"%>
<%@ taglib uri="http://java.sun.com/jsp/jstl/core" prefix="c"%>
<%@ page import="com.ddstation.common.property.JsVersionProperties" %>
<!DOCTYPE html>
<html lang="zh-CN">
	<head>
		<meta charset="utf-8">
		<meta http-equiv="X-UA-Compatible" content="IE=edge">
		<meta name="viewport" content="width=device-width, initial-scale=1"><!--移动设备优先-->
		<title>医师资质认证</title>
		<style type="text/css">@import url("<c:url value="/css/pc/lib/bootstrap.min.css"/>");</style>
		<style type="text/css">@import url("<c:url value="/css/pc/lib/V2.0/weknow.css?${JsVersionProperties.prop.getProperty('common')}"/>");</style>
		
		<script src="<c:url value="/js/lib/jquery.min.js"/>" type="text/javascript"></script>
		<script src="<c:url value="/js/pc/lib/bootstrap.min.js"/>" type="text/javascript"></script>
		<script src="<c:url value="/js/lib/weknow.js?${JsVersionProperties.prop.getProperty('common')}"/>" type="text/javascript"></script>

		<style>
			.select_w{
			    width: 50%;
			}
		</style>
		
	</head>
	
	<body>
	
		<input type="hidden" name="queryString" id="queryString" value="${aliCloudOSSObjectModel.queryString}">
		<!-- 页面范围全局变量 -->
		<div class="container-fluid">
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">姓名</label>
				</div>
				<div class="col-md-4">
					<input type="text" class="form-control" id="name" maxlength="50" value="">
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">身份证号</label>
				</div>
				<div class="col-md-4">
					<input type="text" class="form-control" id="id_card" maxlength="50" value="">
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">手机号</label>
				</div>
				<div class="col-md-4">
					<input type="text" class="form-control" id="phone" maxlength="50" value="">
				</div>
				<div class="col-md-2">
					<label class="column">注：用于接收审核结果</label>
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">医生资格证书</label>
				</div>
				<div class="col-md-4">
					<input type="text" class="form-control" id="qualification" maxlength="50" value="">
					<ul class="list-inline">
						<!-- 
						<li id="qr_li" style="display:none;">
						  	<div class="text-center" style="width: 140px;">
						  	  扫描二维码上传照片
						      <img id="qr_img" src="" height="140px" ondragstart="return false;">
						    </div>
						</li> -->
						<li>
						  	<div class="text-center" id="upload-btn" style="width: 140px;">
						      <img src="img/addImg.jpeg" height="120px" ondragstart="return false;">
						    </div>
						</li>
				  	</ul>
				  	<p>注：医师资格证书照片必须包含姓名，证书编号的信息页</p>
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">医师执业证书</label>
				</div>
				<div class="col-md-4">
					<input type="text" class="form-control" id="doctor_licence" maxlength="50" value="">
					<ul class="list-inline">
						<!-- 
						<li id="qr_li" style="display:none;">
						  	<div class="text-center" style="width: 140px;">
						  	  扫描二维码上传照片
						      <img id="qr_img" src="" height="140px" ondragstart="return false;">
						    </div>
						</li> -->
						<li>
						  	<div class="text-center" id="upload-btn-doctor_licence" style="width: 140px;">
						      <img src="img/addImg.jpeg" height="120px" ondragstart="return false;">
						    </div>
						</li>
				  	</ul>
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">职称</label>
				</div>
				<div class="col-md-4">
					<select class="form-control select_w" id="technical_title" >
						<option value="-1"></option>
						<c:forEach var="a" items="${technicalTitleList}">
					     	<option value="${a.codeCategoryName}">${a.value}</option>
					    </c:forEach>
					</select>
				</div>
				<div class="col-md-3">
					<label class="column" style="margin-left: -70%;">注：如为主治医师及以上，需提供对应的职称证书</label>
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">执业范围</label>
				</div>
				<div class="col-md-4">
					<select class="form-control select_w" id="scope_practice" >
						<option value="-1"></option>
						<c:forEach var="a" items="${scopePracticeList}">
					     	<option value="${a.codeCategoryName}">${a.value}</option>
					    </c:forEach>
					</select>
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">抗菌药物处方权</label>
				</div>
				<div class="col-md-4">
					<div class="radio">
					  <label>
					    <input type="radio" name="antibiosis_authority" value="0" checked>
					    无
					  </label>
					</div>
					<div class="radio">
					  <label>
					    <input type="radio" name="antibiosis_authority" value="1">
					    非限制级抗菌药物处方权（需上传相关证明）
					  </label>
					</div>
					<div class="radio">
					  <label>
					    <input type="radio" name="antibiosis_authority" value="2">
					   限制级抗菌药物处方权（需上传相关证明）
					  </label>
					</div>
					<div class="radio">
					  <label>
					    <input type="radio" name="antibiosis_authority" value="3">
					   特殊疾抗菌药物处方权（需上传相关证明）
					  </label>
					</div>
				</div>
			</div>
			<div class="row">
				<div class="col-md-3 text-right">
					<label class="required column">麻醉药品和第一类精神药品处方资格</label>
				</div>
				<div class="col-md-4">
					<div class="radio-inline">
					  <label>
					    <input type="radio" name="anesthetic_authority" value="0" checked>
					    无
					  </label>
					</div>
					<div class="radio-inline">
					  <label>
					    <input type="radio" name="anesthetic_authority" value="1">
					    有（需上传相关证明）
					  </label>
					</div>
				</div>
			</div>
			<div class="row">
				<div class="col-md-4 col-md-offset-3">
					<button type="button" class="btn btn-default">暂存</button>
					<button type="button" class="btn btn-primary" style="width: 300px;">下一步</button>
				</div>
			</div>
			
		</div>
    	
    	<script src="<c:url value="/js/pc/lib/drag-arrange.js"/>" type="text/javascript"></script>
		<script src="<c:url value="/js/plupload.full.min.js"/>" type="text/javascript"></script>
		<script src="<c:url value="/js/pc/lib/oss-img-upload-ext.js?v0r3"/>" type="text/javascript"></script>
    	<script src="<c:url value="/js/pc/lib/wn-validator.js?V0.4"/>" type="text/javascript"></script>
		<script src="<c:url value="/js/pc/doctor_verify/doctor_verify.js?V0.1"/>" type="text/javascript"></script>
	</body>
</html>